Pelvis and Hip

Question 1

Anterior Iliac Superior Spine
Iliac Crests
Ischial Tuberosities
Pubic Symphysis

Answer 1

All Meet at the Pelvis

Question 2

Bones of the Pelvis

Answer 2

Sacrum

Coccyx

Question 3

Sacrum

Answer 3

Provides Stability

Question 4

Coccyx

Answer 4

End of Spine

Question 5

Bones of the Hip Joint

Answer 5

Acetabulum

Femur

Question 6

Motions of the Hip

Answer 6

Abduction 
Adduction 
Flexion 
Extension 
Medial Hip Rotation 
Lateral Hip Rotation

Question 7

Bones of the Femur

Answer 7

Head 
Neck 
Greater Trochanter 
Lesser Trochanter 
Femoral Condyles (Distal) 
Patella

Question 8

Femur

Answer 8

Longest and Heaviest Bone in the Body.

Question 9

Hip Joint

Answer 9

Stable
Strong
Ball and Socket

Question 10

Components of Hip

Answer 10

Femoral Head
Acetabulum
Acetabulum Labrum
Bursa

Question 11

Joint Capsule

Answer 11

Spiral Orientation
Tightens with Extension
Lined with Synovial Membrane

Question 12

What provides hip stability?

Answer 12

Ligaments
Muscles
Labrum

Question 13

Anterior Ligaments

Answer 13

Iliofemoral

Pubofemoral

Question 14

Posterior Ligaments

Answer 14

Ischofemoral

Question 15

Iliofemoral Ligament

Answer 15

“Y” ligament
Runs: Anterior and Superior
Role: Limit Hyperextension of Hip

Question 16

Acetabular Labrum

Answer 16

Helps Support the Hip.

Question 17

Bursa

Answer 17

Cushioning Sac

Compression Area

Question 18

Synovial Fluid

Answer 18

Shock Absorption

Question 19

Ischiofemoral

Answer 19

Weakest
Runs: Posterior and Inferior
Role: Limit Internal Rotation

Question 20

Ligentum Teres

Answer 20

Head of the Femur 
Weak 
Runs: Head of Femur to Acetabulum 
Medial and Lateral Rotators of the Hip 
Add Stability 
Blood Supply

Question 21

Femur Components

Answer 21

120-125 deg - Normal Inclination

Larger Angle at Birth, Decreases with Weight Bearing

Question 22

Coxa Vara

Answer 22

Smaller Angle.

Increase Chance of Neck Fracture

Question 23

Coxa Valga

Answer 23

Larger Angle.
Decreases Hip Stability.
Decreases Mechanical Effectiveness of Abductors.
Early Arthritic Changes Lead to Grinding.
Children more than Adults
Weight Bearing

Question 24

Pubofemoral

Answer 24

Runs: Anterior and Inferior
Role: Limit Abduction of Hip

Question 25

Slipped Capital Femoral Epiphysis (SCFE)

Answer 25

``` Seen in Adolescents Painful Most Common in Obese Males Characterized by Groin Pain on Affected Side Growth Plate Hasn't Formed Yet ```

Question 26

Angle of Torsion

Answer 26

Angle Between Femoral Head and Condyle in Transverse Plane Normal is 12-15 Increased in Birth Decreases with Activation of Hip Extensor Muscles

Question 27

Anteversion

Answer 27

``` Can be born with Increase in Angulation Decrease Hip Stability; Correlated with Increased Medial Rotation and Decreased Lateral Rotation of the Hip; Toeing in or "knock-knee" Posture Children more than Adults Activation of hip extensors ```

Question 28

Retroversion

Answer 28

Decrease in Angulation | Increased Problems with Impingment and Lateral Tears of the hip

Question 29

Close-Packed

Answer 29

Taught Ligaments | Position: Hip Extended and Internal Rotation is Tight

Question 30

Loose-Packed

Answer 30

Lax Ligaments Position: Hip Flexion Least Stable

Question 31

Motions of Hip and Pelvis

Answer 31

``` Flexion Extension Abduction Adduction Medial Rotation Lateral Rotation ```

Question 32

Pelvic Tilt

Answer 32

Flexion | Extension

Question 33

Lateral Pelvic Tilt

Answer 33

Abduction | Adduction

Question 34

Lateral Pelivic Shift

Answer 34

Abduction | Adduction

Question 35

Forward/Backward Pelvic Rotation

Answer 35

Medial Rotation | Lateral Rotation

Question 36

Hip Fracture

Answer 36

Neck of Femur or Intertrochateric

Question 37

Treatment for Hip Fracture

Answer 37

Plates and Screws | Unless blood supply is Compromised

Question 38

Osteonecrosis

Answer 38

Bone Death

Question 39

Total Hip Arthroplasty (THA or THR)

Answer 39

Replacement of Proximal Femur and Acetabular Cup Posterior or Anterolateral Approaches Hip Dislocation is Common

Question 40

Post-Surgery (OT Role)

Answer 40

``` Hip Precautions How to Use Walker, Crutches or Wheelchair How to Stand How to Use Commode, Shower Bench/Chair Talk to Family ```

Question 41

Hip Resurfacing

Answer 41

Younger Patients Less Bone Removal Greater Options for Revisions More Skill Required

Question 42

Developmental Dysplasia

Answer 42

Hip Dysplasia | Acetabulum does not Fully Support Femoral Head

Question 43

Treatment for Hip Dysplasia

Answer 43

Special Harness

Question 44

Role of OT with Hip Dysplasia

Answer 44

Parent Education Proper Handling for Diaper Changing Bathing/Carrying Techniques Age Appropriate Milestones